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LYSIS OF EPIDURAL ADHESIONS SUR712.024 COVERAGE: Hypertonic saline injections, injections or the use of a spring wound catheter are considered investigational as a technique for lysis of epidural
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How to fill out lysis of epidural adhesions

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How to fill out lysis of epidural adhesions:

01
Prepare the patient: Prior to the procedure, ensure that the patient understands the risks and benefits involved. Obtain informed consent and provide them with any necessary pre-operative instructions.
02
Select the appropriate anesthesia: Discuss with the patient and anesthesiologist about the best anesthesia option for this procedure, considering factors such as patient's preference, medical condition, and pain management needs during the procedure.
03
Position the patient: Assure the patient is placed in a comfortable and appropriate position to allow access to the epidural space. This is typically done in a prone position.
04
Sterilize the area: Clean and sterilize the patient's back using an antiseptic solution to minimize the risk of infection.
05
Administer local anesthesia: Use a local anesthetic to numb the skin and underlying tissues at the injection site. This assists in reducing any discomfort during the procedure.
06
Insert the needle: Using fluoroscopic guidance (real-time X-ray imaging), insert a thin needle into the epidural space in the patient's back. This is typically done under sterile conditions to minimize the risk of infection.
07
Confirm needle placement: Inject a contrast dye through the needle and observe its flow using fluoroscopy. This helps confirm the correct placement of the needle within the epidural space.
08
Perform lysis of adhesions: Once needle position is confirmed, the procedure to remove the epidural adhesions can begin. Depending on the specific technique used, this may involve the injection of medications, such as local anesthetics or steroids, to dissolve or break up the adhesions.
09
Monitor the patient: Throughout the procedure, closely monitor the patient's vital signs, response to anesthesia or medications, and any signs of complications or adverse reactions.
10
Post-procedure care: After the lysis of epidural adhesions, provide the patient with appropriate post-operative instructions. This may include avoiding certain activities, monitoring for any signs of infection or complications, and scheduling any necessary follow-up appointments.

Who needs lysis of epidural adhesions?

01
Patients experiencing chronic back pain or leg pain related to epidural adhesions may benefit from lysis of epidural adhesions.
02
Individuals who have previously undergone spinal surgery and have developed scar tissue or adhesions in the epidural space may require lysis of adhesions to alleviate symptoms.
03
Patients with failed conservative treatments such as physical therapy, medication, or other interventions may be candidates for this procedure.
04
The decision to pursue lysis of epidural adhesions should be made in consultation with a qualified healthcare professional based on individual medical history, symptoms, and diagnostic findings.

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Lysis of epidural adhesions is a medical procedure used to break down scar tissue that has formed around the epidural space.
Medical professionals such as doctors or surgeons who perform the procedure are required to file lysis of epidural adhesions.
The lysis of epidural adhesions form must be completed with details of the procedure, patient information, and any complications that occurred.
The purpose of lysis of epidural adhesions is to alleviate pain and improve mobility by breaking down scar tissue in the epidural space.
Information such as the date of the procedure, type of anesthesia used, patient's medical history, and any post-operative care instructions must be reported on lysis of epidural adhesions.
The deadline to file lysis of epidural adhesions in 2023 is typically within 30 days of the procedure being performed.
The penalty for late filing of lysis of epidural adhesions may result in fines or disciplinary action against the medical professional responsible for filing.
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